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Case Reports
. 2013 Jul-Sep;3(3):38-41.
doi: 10.13107/jocr.2250-0685.114.

Post-traumatic Median Nerve Neuroma in Wrist. A Case Report and brief review of Literature

Ahmet Aslan  1 , Mehmet Nuri Konya  1 , Serdar Sargin  1
Affiliations
Case Reports

Post-traumatic Median Nerve Neuroma in Wrist. A Case Report and brief review of Literature

Ahmet Aslan et al. J Orthop Case Rep. 2013 Jul-Sep.

Abstract

Introduction: Distal median nerve masses may be developed post-traumatic or non-traumatic. In this paper, we aim to present a 52 year old female case with a postraumatic neuroma of the median nerve in the left wrist.

Case series: A 52-year-old female patient had accidental incised wound over her left wrist which was primarily sutured. She presented 6 months later with unrelieved pain and growing swelling at the wrist. USG showed solid mass of size 2x3 cms. Intraoperatively the mass was seen to arise from medial nerve and careful excision was done protecting the nerve. At one year follow up the patient is relived of her symptoms with no sensorimotor deficit.

Conclusion: Post traumatic neuroma present as unrelieved pain and progressive swelling. A high index of suspicion should be kept in cases of wound that are primarily sutured over an area with superficial nerves. Careful excision of the lesion is very effective in relieving patients symptoms.

Keywords: Neuroma; median nerve; nerve injury; wrist.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Fig 1
Fig 1
Median nerve neurinomma
Fig 2
Fig 2
Intra-op examination
Fig 3
Fig 3
Excised mass
Figure 4 (a),(b)
Figure 4 (a),(b)
Pathological findings
See this image and copyright information in PMC

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